19-100527. 4
Project Name: HOLADAY
Project Address: 4606 SW 328TH PL
Project Description: Remove and replace hot water tank.
Mechanical
Permit #:19 -100527 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 802950 0070
Owner
Applicant
City of Federal way
ROBERT HOLADAY
Com —ty Devebpmmt Dept.
OWNER IS CONTRACTOR
33325 8th Ave S
"
Fedaal Way, WA 98003
FEDERAL WAY WA
Ph: (253) 8355-2607 Fax (253) 835-2609
Project Name: HOLADAY
Project Address: 4606 SW 328TH PL
Project Description: Remove and replace hot water tank.
Mechanical
Permit #:19 -100527 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 802950 0070
Owner
Applicant
Contractor
ROBERT HOLADAY
ROBERT HOLADAY
OWNER IS CONTRACTOR
4606 SW 328TH PL
4606 SW 328TH PL
FEDERAL WAY WA
FEDERAL WAY WA
98023-1925
98023-1925
Additional Permit information
Mechanical Work Valuation? .................................. 750 Is this an Online or O.T.C. application?.... ......... Yes
Hot Water Tanks
PERMIT EXPIRES Tuesday, 30 July, 2019
Permit Issued on Thursday, January 31, 2019
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Washin ton a e ' of Federal Way.
Owner or a e t: Date:
F1'-Ja
THIS CARD IS TO REMAIN ON-SITE
FeclerMa Construction Inspection Record
y INSPECTION REQUESTS: (253) 835-3050
PERbIIT #: 19100527 00 Address: 4606 SW 328TH PL
Project: VIVIAN D HOLADAY FEDERAL WAY WA 98023-1925
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
(read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if
you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
0 Mechanical Rough -in (4165) Q Gas Piping (4125) 0 Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By A1 Date
Rough Electrical
Final Electrical
❑
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVED
Z#§
CITY OF � -
Federal Way 'JAN 31 2019
PERMIT APPLICATION
PERMIT CENTER + 33325 811, Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
coM UNITY FEDERAL MY
PERMIT NUMBER C _ fpmr Z I
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
t,._. S / ;�' ij
PROJECT VALUATION
$ 7,0
ZONING
ASSESSOR'S TAX/PARCEL #
g 0 7. 9 5" 0_ C, 0 7 C)
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ZMECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESSE-MAIL
4!
L� ��� I► �� -
CITY
6 L
STATE
ZIP
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
oel,►-1
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
APPLICANT,
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME -
PRIMARY PHONE
S.- 3 - U-' e
MAILING AD REBS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
When value is $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
- PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part o this appli
SIGNAA`URE: - - �. -� t1+-- DATE ��•., r��
PRINT
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
MECHANICAL PERMIT VALUE OF MECHANICAL WORK
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES k_ HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
r N '"
fi 'ry
s y. l Jr l r '
r s
—__........................................... _...... ........... -.._............... ----.................... .............. - -
EXISTING/PREVIOUS USE
LOT SIZE )In Square Feet)
$
Indicate how many o each type offixture
to be installed or relocated as
part o this project. Do not include existing res to remain.
BATHTUBS (or Tub/Shower combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (kitchen/utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
r N '"
fi 'ry
s y. l Jr l r '
r s
—__........................................... _...... ........... -.._............... ----.................... .............. - -
EXISTING/PREVIOUS USE
LOT SIZE )In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
,y,....
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING PROPOSED
TOTAL
FOR OFFICE USE
r N '"
fi 'ry
s y. l Jr l r '
r s
—__........................................... _...... ........... -.._............... ----.................... .............. - -
,.o fi^ 3✓ .*f L
,y,....
FIRST FLOOR (or Mobile Home)
..........................__........ _............. _................ _.......... _..__.... _....... _.__... _........................................... _........
ROMtett
COVERED ENTRY
"P+,�
Yd
r/1.r L�z f, �. �' s ✓�".- r �r/r` ,`mss
"'
Y
�� rr` ;��
•. lr sii..%:a
.........._................................. .__..............._.... _............._...... ... _... .____.._.____—.
1. ,YAFIM// ,u.�. 6:
f Y ,^ /' f ,1,, r
..:A
GARAGE ❑ CARPORT ❑
r
----._ - _ . ............ _ ...-- -....... .._- ................ _........... -...._
"N"
r s^ t �i�i�,4^',,.;iy
.
Area Totals
EMSTWG PROPOSEDTOTAL
...__......_.._.._..._.... _.... _.._.... _..... _.... __._._...
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL —'NEW/ADDITION
Area in Construction # of
AREA DESCRIPTION Occupancy Group(s) Additional Information
Square Feet lboe I Stories
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Area in Construction # of
AREA DESCRIPTION Occupancy Group(*) Additional Information
Square Feet Type Stories
TENANT AREA ONLY
Bulletin #100 - January 29, 2016 Page 2 of 2 k:�Handouts\Pennit Application